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. 2020 Apr 24;11:351. doi: 10.3389/fneur.2020.00351

Table 1.

Case series and case reports of SSS stenting.

References N Indication Stent model and dimensions Implant location Antithrombotic regimen Outcome and complications
Raper et al. (42) 19 Non-thrombotic veno-occlusive disease. Stent models not specified. Stent diameters of 8 and 10 mm.
Total length of stent constructs ranged from 60 to 180 mm.
One, two or three stents deployed in tandem in proximal SSS (posterior to vein of Trolard). In 12 patients the stent construct spanned into the traverse sinus. In 6 patients the stent construct spanned into the sigmoid sinus. 7 days of premedication with aspirin and clopidogrel. Intravenous heparin 100 units/kg during procedure. No intraprocedural complications.
Two patients developed femoral artery pseudoaneurysm at arterial puncture site. All stents remained patent and no patients had junctional SSS stenosis distal to the stent construct, at a mean follow-up of 5.2 months.
Matsumoto et al. (43) 1 CVST of SSS ENTERPRISE Vascular Reconstruction Device (Codman & Shurtleff, Johnson & Johnson). Diameter 4.5 mm. Three stents placed in tandem in posterior SSS Intravenous heparin to achieve an APTT of 250-300 seconds. Postoperative anticoagulation for three months (agent not specified). SSS patent at 3 months. No recurrence of CVST at 3 year follow-up.
Matsumoto et al. (44) 2 CVST of SSS ENTERPRISE VRD. Diameter not specified Two stents placed in tandem in posterior SSS. Preoperative anticoagulation. aspirin 200 mg and clopidogrel 300 mg load on table. Anticoagulation and antiplatelet therapy continued postoperatively. SSS patent at long-term follow-up (2 years in first patient and 1.5 years in second patient).
Ohara et al. (45) 1 Occlusion of posterior third of SSS in setting of dural arteriovenous fistulas. Carotid WALLSTENT (Boston Scientific). Length 21 mm, diameter 8 mm. Three stents placed in tandem in posterior SSS. Intravenous heparin during procedure and aspirin loading dose on table. No postoperative antithrombotics. SSS patent at 3 months follow-up
Entezami et al. (46) 1 SSS stenosis due to external compression by parasagittal meningioma Carotid WALLSTENT Length 21 mm, diameter 8 mm. Single stent in posterior third of SSS. Seven days of 325 mg daily aspirin preoperatively, continued for 6 months postoperatively, followed by 81 mg daily aspirin indefinitely. SSS patent at 3 months follow-up.
Ganesan et al. (47) 1 SSS stenosis due to external compression by parasagittal meningioma Omnilink.018 balloon-mounted stent. Diameter not specified. Single stent in posterior SSS. Intravenous heparin during procedure. Warfarin postoperatively for 8 weeks, then indefinite aspirin. SSS patent at 14 months follow-up.

APTT, activated partial thromboplastin time; CVST, cerebral venous sinus thrombosis; SSS, superior sagittal sinus; VRD, vascular reconstruction device.